NPIMap

Organization Active NPI

Kevin Minh Duong, OD, Apoc

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1174940472
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1657-691T Issued in LA
Legal business name
KEVIN MINH DUONG, OD, APOC
Practice address
10000 Dawnadele Ave
Building a
Baton Rouge, LA 70809-2591
Phone
(225) 288-0149
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin Minh Duong, OD
Title
Owner
Phone
(225) 288-0149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1657-691T LA Primary

Addresses

Primary practice location

10000 Dawnadele Ave
Building a
Baton Rouge, LA 70809-2591

Mailing address

42405 Cedarstone Ave
Prairieville, LA 70769-6299
Phone (225) 288-0149

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1174940472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42405 CEDARSTONE AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707696299",
            "telephone_number": "225-288-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 DAWNADELE AVE",
            "address_2": "BUILDING A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092591",
            "telephone_number": "225-288-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MINH DUONG, OD, APOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-288-0149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1657-691T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.